NPIMap

Organization Active NPI

Osbourne Family Dental

  • Dental Clinic/Center
  • Bardstown, KY
National Provider Identifier
1023837804
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OSBOURNE FAMILY DENTAL
Practice address
919 Chambers Blvd Ste a
Bardstown, KY 40004-2574
Phone
(502) 348-6404
NPI assigned
Oct 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher G Nichols, DMD
Title
Owner
Phone
(270) 737-3368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

919 Chambers Blvd Ste a
Bardstown, KY 40004-2574

Mailing address

1602 Lakewood Dr
Elizabethtown, KY 42701-5458
Phone (270) 737-3368

National Provider Directory

National Provider Directory

Locations

919 Chambers Blvd
Ste A
Bardstown, KY 40004
Phone (502) 348-6404

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1023837804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 LAKEWOOD DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015458",
            "telephone_number": "270-737-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CHAMBERS BLVD STE A",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042574",
            "telephone_number": "502-348-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBOURNE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-737-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.